Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.40 / $3,596.00 / $10,836.00	Facility		$608.40	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.93 / $451.37 / $539.94	Professional		$388.93	$451.37	$539.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.28 / $463.62 / $645.92	Professional		$366.28	$463.62	$645.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $362.92 / $362.92 / $362.92	Facility		$362.92	$362.92	$362.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.40 / $565.37 / $916.96	Professional		$423.40	$565.37	$916.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $1,834.26	Facility		$55.00	$55.00	$1,834.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,764.52 / $13,299.44 / $13,299.44	Professional		$3,764.52	$13,299.44	$13,299.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $406.55 / $544.79 / $961.01	Facility		$406.55	$544.79	$961.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.35 / $580.79 / $677.58	Professional		$503.35	$580.79	$677.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $743.10 / $743.10 / $743.10	Professional		$743.10	$743.10	$743.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.04 / $557.26 / $1,021.14	Facility		$415.04	$557.26	$1,021.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $575.20 / $984.04	Professional		$419.08	$575.20	$984.04
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.21 / $458.89 / $729.40	Professional		$345.21	$458.89	$729.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $330.46 / $380.25 / $515.86	Professional		$330.46	$380.25	$515.86